PATOLOGIA II

Dra. Mariela Zabala.

ANALISIS DE CUADROS CLINICOS

Analice los siguientes cuadros clnicos y responda las siguientes preguntas, fundamente sus
respuestas (por qu?):
Diagnostico clnico (Qu es?)
Patogenia (Cmo se desarrollo la enfermedad?)
Anlisis laboratoriales (Qu le puedo pedir a mi paciente para confirmar el diagnostico?)
Tratamiento (Con qu lo puedo tratar?)
Diagnostico diferencial (Con qu otras enfermedades lo puedo confundir?)

1. Paciente de 55 aos de edad, gnero masculino, inicia con un cuadro clnico de ms o

menos 2 semanas de evolucin, sudoracin nocturna, fiebre vespertina, escalofros, tos,
hemoptisis, prdida de peso reciente. En la auscultacin se ausculta roncus.
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PATOLOGIA II
Dra. Mariela Zabala.

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PATOLOGIA II
Dra. Mariela Zabala.

2. Paciente de 15 aos de edad, gnero femenino con antecedentes de alergias de larga data
con cuadro clnico agudo de disnea, tos, cianosis, rash cutneo despus de realizar
ejercicios. En la auscultacin se ausculta sibilancias.
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PATOLOGIA II
Dra. Mariela Zabala.

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PATOLOGIA II
Dra. Mariela Zabala.

3. Paciente de 80 aos de edad con cuadro clnico de tos, fiebre, escalofros,

expectoracin mucopurulenta de 7 das de evolucin, acompaado de dolor en punta
de costado. Ingresa a emergencia por disnea progresiva. A la auscultacin se ausculta
crepitos.
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PATOLOGIA II
Dra. Mariela Zabala.

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PATOLOGIA II
Dra. Mariela Zabala.

4. Paciente de 30 aos ingresa a consulta por cuadro clnico de malestar general, dolor
de garganta, fiebre, coriza, dolor en punta de costado y dificultad respiratoria de 2
das de evolucin. A la auscultacin se auscultan crepitos.
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PATOLOGIA II
Dra. Mariela Zabala.

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PATOLOGIA II
Dra. Mariela Zabala.

5. Paciente de 35 aos de edad, gnero masculino, fumatrico de larga data con cuadro clnico
de ms o menos 1 semana de evolucin con tos de 2 aos y 3 meses acompaado de
expectoracin mucupurulenta, hemoptisis, dolor de punta de costado, disnea, fiebre todas
las maanas. En la auscultacin se ausculta crepito.
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PATOLOGIA II
Dra. Mariela Zabala.

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PATOLOGIA II
Dra. Mariela Zabala.

6. Paciente de 60 aos de edad, gnero masculino, fumatrico de larga data que presenta
cuadro progresivo de disnea, tos, hemoptisis, palidez generalizada, prdida de peso en 2
semanas y dolor. En la auscultacin se ausculta crepito.

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PATOLOGIA II
Dra. Mariela Zabala.

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7. Paciente de 60 aos de edad, con historia de insuficiencia cardiaca compensada, en cama
por fracturas mltiples, quien sbitamente hace disnea, taquipnea y dolor torcico. Cul es

PATOLOGIA II
Dra. Mariela Zabala.

su impresin diagnstica? Qu factor tiene el paciente que apoye su impresin

diagnstica? Qu ms esperara en este paciente por el antecedente de insuficiencia
cardaca y por qu? Este cuadro clnico es simulado por cul otra entidad?

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PATOLOGIA II
Dra. Mariela Zabala.

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PATOLOGIA II
Dra. Mariela Zabala.

1=tuberculose
2=hasma bronquial
3=neumococica
4=meumonia viral
5=bronquitis crnica
6=cancer
7= enfermidad vascular pulmonar por embolia